FREQUENTLY ASKED QUESTIONS

1. What insurances are contracted with the office?
  • Pacific Source - Commercial, Exchange Coordinated Care
  • Samaritan Health Plans - Commercial Only
  • MODA - Commercial Only
PLEASE NOTE: The best way to find out if your claims will be paid in-network is to contact your insurance carrier directly and get specific details about your insurance plan before seeing us.
*Unfortunately, we are unable to accept patients who have medicaid insurance such as OHP, IHN, etc.

We currently are not contracted with:

Aetna, Providence, United Health Care, TriCare, Medicaid, or Medicare.

2. What if I have insurance that you are not contracted with?

  • For Medicare patients: You enter an agreement to be a private-pay patient. This is a voluntary agreement and you will pay for services rendered on the day of the visit.

  • For other Commercial Plans: Payment is due on day of service for fees rendered.  You are then able to submit to your insurance for reimbursement. 

    • Note: Providence patients have historically had out-of-network coverage for OMT. Please confirm with your insurance ​about your specific plan. 

We accept cash, checks, credit and debit cards (Visa, Mastercard, Discover)

Insurance is very complicated. There is no guarantee that services will be covered until your insurance information has been collected and benefits verified. We advise strongly that you contact your insurance company before scheduling with us to avoid unexpected charges.

3. Do you see injuries related to work or car accidents?​
 
Our office does not accept Workers Comp (WC) or Motor Vehicle Accident (MVA) claims.  Any visits that refer to an open WC or MVA claim are cash visits.  You can then submit the bill to the appropriate insurance carrier for your work related or MVA claim. For new and established patients, if you are unsure if your visit is regarding your open WC or MVA claim, please check with our office.

4. Why we chose who we are contracted with:​

At AHA, we are passionate about what we do and feel that it is our calling to provide you with the highest quality care possible. We also emphatically believe that we will be saving our patients thousands of dollars of healthcare costs down the road by preventing and treating diseases from a whole body approach, sometimes even before you see outward signs of disease. Many of our patients have been able to come off expensive prescription medications, been able to go back to work, no longer required surgery, and staved off illness from the common cold to more chronic diseases.

While we fully understand the financial challenge not billing select insurance may present to some patients, we have chosen not to for a variety of reasons. When medical practices participate in insurance, the physicians must sign a contract that allows the insurance company to decide the type of care the doctor will provide. Insurance companies are often not interested in preventative-wellness care, but are highly invested in the conventional model of medicine. Prescription medication and surgery are often covered charges. We, on the other hand, are committed to treating the whole person in an Osteopathic/Functional Medicine approach.

 

Furthermore, physicians that are participating partners in insurance companies must accept the fees designated by them. Some of these fees cover only the briefest of appointments. Physicians are forced to see as many patients as they can per hour in order to keep their offices financially functional. This is why we are seeing many physician groups merging with larger hospital settings, where high-tech surgical and diagnostic procedures are priced to keep them financially afloat. At AHA, we don’t believe long-term health and the best care for the patient can be provided with these time and fee constraints.

5. Can you be my Primary Care Provider (PCP)?

The role of a PCP is more of a care coordinator for both chronic and emergent issues with evening and weekend availability. Although our osteopathic approach is comprehensive, we function more like a specialty clinic. It is best to have both a designated PCP and see us for additional holistic treatment plans - including functional medicine lifestyle plan, osteopathic manipulation, manual therapy, and if needed appropriate referrals.  Though if you have an issue, frustrated with the standard model of medical care, and have taken the time to read this - we are great place to start and help you toward healing!